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Clinical Trial with Cladribine (2-CDA) and Pegylated Interpheron Alfa-2a in patients with advanced systemic mastocytosis carrying D816V KIT mutation (or different mutations involving exon 17 of KIT).

Conditions
Advanced systemic mastocytosis carrying the D816V KIT mutation (or different exon 17 KIT mutations).
Therapeutic area: Not possible to specify
Registration Number
EUCTR2012-000797-35-ES
Lead Sponsor
Hospital Virgen de la Salud, Toledo (Spain).
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised-recruitment may be ongoing or finished
Sex
All
Target Recruitment
Not specified
Inclusion Criteria

Age older than 18 years.
Diagnosis of advanced systemic mastocytosis (aggressive systemic mastocytosis or proggressing systemic mastocytosis) with D816V or other exon 17 KIT mutations.
ECOG = 3.
Signed informed consent.
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 6
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 4

Exclusion Criteria

Impaired liver function (total bilirubin = 2.0 mg/dl, AST or ALT > 3 x upper limit of normal) not related to mastocytosis.
Impaired renal function (creatinine = 2.0 mg/dL) not related to mastocytosis.
Grade III-IV cytopenias not related to mastocytosis.
Severe cardiopathy (grade III/IV of NYHA, or left ventricular ejection fraction < 50%).
Pregnancy or breastfeeding.
Female patients who do not use contraceptive methods.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: To analyze the efficacy and safety of the combined use of cladribine plus peginterpheron alfa-2a in patients with advanced systemic mastocytosis.;Secondary Objective: To analyze the safety of the combined use of cladribine plus peginterpheron alfa-2a in patients with advanced systemic mastocytosis.;Primary end point(s): To evaluate the effect of therapy on bone marrow mast cell infiltration.;Timepoint(s) of evaluation of this end point: 3 and 6 months.
Secondary Outcome Measures
NameTimeMethod
Secondary end point(s): To determine the effect of therapy on serum tryptase levels and other altered peripheral blood parameters due to mastocytosis.<br>To evaluate the effect of therapy on mast cell-mediator release symptoms: pruritus, flushing, gastrointestinal symptoms or anaphylaxis). <br>To determine the safety of combined therapy with cladribine plus pegylated interpheron alpha-2a. <br>To evaluate the effect of therapy on mastocytosis skin lesions. <br>To evaluate the effect of therapy on mastocytosis-related organomegalies.<br>To evaluate the effect of therapy on mastocytosis-related bone alterations.<br><br>;Timepoint(s) of evaluation of this end point: 6 months for every endpoint.
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